Exhibit F _ Proposer_s Disclosure Statement.doc

DOC document 31 KB Posted

Attached to
CSU_J-465-PM - One Arsenal Place Renovation
Solicitation number
PE-47200-RFQ-2026-000000134
Issued by
Muscogee County, Columbus City, Georgia

About this file

This is a Proposer's Disclosure Statement for the Board of Regents (BOR) of Georgia related to Program Management Services for Project No. J-465, the One Arsenal Place Renovation at Columbus State University in Columbus, Georgia. The disclosure statement is a required component of all proposal submissions and serves to ensure transparency and avoid conflicts of interest in the selection and contracting process for this public project. All proposers must complete and submit the disclosure statement with their proposal package, signed and dated by an authorized representative of the firm.

The disclosure statement requires proposers to provide responses to three specific questions: a description of any business transactions between the proposer's firm and BOR, the Using Agency, or the project's end-user within the prior two years; a description of any gifts, hospitality, or benefits provided by the firm to these entities within the prior one-year period; and a detailed disclosure of any actual or potential conflicts of interest as defined under Georgia law and executive orders. Proposers must evaluate potential conflicts from the perspective of a reasonable person with knowledge of relevant facts, taking into account any actions or decisions that could result in private monetary or financial benefit or detriment to the firm, its relatives, or associated businesses.

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Other files

File Type Posted
Exhibit A _ RFQ Certification Form.docx DOCX document
Exhibit D _ PM Fee Proposal Form.xlsx XLSX spreadsheet
Exhibit B _ Certificate of Minority Form.docx DOCX document
_J_465 CSU PM RFQ_RFP.pdf PDF
Exhibit E _ Contractor Affidavit.docx DOCX document
Egnyte Upload Instructions.pdf PDF
Exhibit C _ Project Team Composition Form.docx DOCX document

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Exhibit F J-465 One Arsenal Place Renovation

Columbus State University, Columbus, Georgia

PROPOSER’S DISCLOSURE STATEMENT

All proposers should be aware that the project you are submitting a proposal on is a public project, and the Owner (BOR) is a public agency. Pursuant to the laws, rules and Executive Orders of the State of Georgia, BOR shall make every effort to avoid even the appearance of a conflict of interest or any impropriety in both the selection process for this project and the negotiation and performance of any resulting contract. As part of any submittal you intend to make for this project, you must include a Disclosure Statement with your submittal which answers the following specific questions:

1. Describe any business transactions occurring within the prior two years between your firm and BOR, the Using Agency, or the ultimate end-user of the proposed project.

Insert Response Here

2. Describe any gift, hospitality, or benefit of any sort that your firm has provided to BOR, the Using Agency, or the end-user of the proposed project within the prior one-year period.

Insert Response Here

3. A conflict of interest or potential conflict of interest is defined as any action, decision, or recommendation by a person acting in a capacity as a public official, the effect of which is or could be to the private monetary or financial benefit or detriment of the person, the person’s relative, or any business with which the person or a relative of the person is associated. The potential conflict of interest is viewed from the perspective of a reasonable person who has knowledge of the relevant facts. Based upon this definition, describe any conflict of interest or potential conflict of interest that your firm has with BOR, the Using Agency, or the end-user of this project.

Insert Response Here This Disclosure Statement should be dated and signed by an authorized signator for the Proposer and submitted with the Proposer’s Submittal as a deliverable.

Name of Firm

Authorized Signature

Date

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